中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2012年
18期
16-17
,共2页
刘斌%朱化刚%余昌俊%宋海屏
劉斌%硃化剛%餘昌俊%宋海屏
류빈%주화강%여창준%송해병
腘动脉%损伤%诊断%治疗
腘動脈%損傷%診斷%治療
객동맥%손상%진단%치료
Popliteal artery%Injury%Diagnosis%Treatment
目的 探讨腘动脉损伤及早诊断与治疗的方法.方法 分析安徽医科大学第一附属医院1999年10月至2011年9月收治的17例腘动脉损伤患者的救治过程,结合临床检查及多普勒超声检查,及早诊断和修复损伤血管,术中损伤血管远端取栓和预防性筋膜切开减压.结果 17例患者中4例截肢,2例有轻度跛行；1例因初次术后吻合口处血栓形成二次手术者,发生缺血性肌坏死虽保住了肢体,但遗留有严重的肢体功能障碍.结论 腘动脉损伤应早期采取相关检查,及时明确诊断并积极采取修复等综合治疗,降低并发症发生率和截肢率.
目的 探討腘動脈損傷及早診斷與治療的方法.方法 分析安徽醫科大學第一附屬醫院1999年10月至2011年9月收治的17例腘動脈損傷患者的救治過程,結閤臨床檢查及多普勒超聲檢查,及早診斷和脩複損傷血管,術中損傷血管遠耑取栓和預防性觔膜切開減壓.結果 17例患者中4例截肢,2例有輕度跛行；1例因初次術後吻閤口處血栓形成二次手術者,髮生缺血性肌壞死雖保住瞭肢體,但遺留有嚴重的肢體功能障礙.結論 腘動脈損傷應早期採取相關檢查,及時明確診斷併積極採取脩複等綜閤治療,降低併髮癥髮生率和截肢率.
목적 탐토객동맥손상급조진단여치료적방법.방법 분석안휘의과대학제일부속의원1999년10월지2011년9월수치적17례객동맥손상환자적구치과정,결합림상검사급다보륵초성검사,급조진단화수복손상혈관,술중손상혈관원단취전화예방성근막절개감압.결과 17례환자중4례절지,2례유경도파행；1례인초차술후문합구처혈전형성이차수술자,발생결혈성기배사수보주료지체,단유류유엄중적지체공능장애.결론 객동맥손상응조기채취상관검사,급시명학진단병적겁채취수복등종합치료,강저병발증발생솔화절지솔.
Objective To study the early diagnosis and treatment of popliteal artery injury.Methods From December 1999 to December 2011,17 cases of popliteal artery injury were diagnosed as earlier as possible based on clinical analysis including injury condition,clinical examination and Doppler-ultrasonography and treated with early repair of the injured arteries,intraoperative or postoperative anticoagulation,immediate fasciotomy and thorough debridement of the ischemic and necrotic muscles and soft tissue.Results There were 4 cases with amputation and 2 cases with slight dysfunction of the lower extremity.One case had serious dysfunction of the lower extremity.Conclusions A rational and prompt diagnosis and treatment for popliteal artery injury will decrease the adverse effect of ischemia and reduce overall morbidity.
